Nishan H Fernando (NPI# 1154309938, PAC ID# 0749226504) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1154309938 |
| PAC ID by PECOS | 0749226504 |
| Professional Enrollment ID | I20050706000554 |
| Full Name | Nishan H Fernando |
| Organization Legal Name | NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC |
| Address |
1505 Northside Boulevard Suite 4300 Cumming GA 30041-8209 |
| Phone Number | 7702051331 |
| Gender | M |
| Credential | MD |
| Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 0840443164 |
| Number of Group Practice Members | 101 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110161 | NORTHSIDE HOSPITAL |
| 110005 | NORTHSIDE HOSPITAL FORSYTH |
| Address | Phone | Organization |
|---|---|---|
| 1505 Northside Boulevard, Suite 4300, Cumming, GA 30041-8209 | 7702051331 | NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC |
| 1100 Johnson Ferry Nerd, Suite 600, Sandy Springs, GA 30342-1739 | 4042564777 | NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC |
| Organization Legal Name | NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC |
| Physicians | 106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Elizabeth Hill | Nurse Practitioner | Nsh Cancer Institute Professional Services G LLC | 308 Deep S Farm Rd, Suite 200, Blairsville, GA 30512-2218 |
| Ali Mohamad Sayed | Hematology/oncology | Nsh Cancer Institute Professional Services G LLC | 125 King Ave, Suite 200, Athens, GA 30606-6710 |
| Tina Marie Grall | Nurse Practitioner | Nsh Cancer Institute Professional Services G LLC | 747 S 8th St C, Griffin, GA 30224-4818 |
| Aynaddis Fekadu | Nurse Practitioner | Nsh Cancer Institute Professional Services G LLC | 698 Duluth Hwy 201, Lawrenceville, GA 30046-7648 |
| Abisola A Ajayi | Nurse Practitioner | Nsh Cancer Institute Professional Services G LLC | 5700 Hillandale Dr, Suite 250, Lithonia, GA 30058-4120 |
| Donna E Hendley | Physician Assistant | Nsh Cancer Institute Professional Services G LLC | 132 Old Norton Rd, Suite 200, Fayetteville, GA 30215-4873 |
| Kathleen E. Lambert | Hematology/oncology | Nsh Cancer Institute Professional Services G LLC | 1501 Milstead Nerd, Suite 110, Conyers, GA 30012-3849 |
| Sheila Dini | Physician Assistant | Nsh Cancer Institute Professional Services G LLC | 1045 Southcrest Dr, Stockbridge, GA 30281-6113 |
| Navneet Dhillon | Medical Oncology | Nsh Cancer Institute Professional Services G LLC | 228 Riverstone Dr, Canton, GA 30114-5256 |
| Aaron R. Alizadeh | Hematology/oncology | Nsh Cancer Institute Professional Services G LLC | 2712 Lawrenceville Hwy, Decatur, GA 30033-2512 |
| Street Address |
1505 NORTHSIDE BOULEVARD SUITE 4300 |
| City | CUMMING |
| State | GA |
| Zip | 30041-8209 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tajuana B Bradley | Nurse Practitioner | Nsh Cancer Institute Professional Services G LLC | 1505 Northside Boulevard, Suite 4300, Cumming, GA 30041-8209 |
| Lily Yadav | Nurse Practitioner | Nsh Cancer Institute Professional Services G LLC | 1505 Northside Boulevard, Suite 4300, Cumming, GA 30041-8209 |
| William G Littlefield | Hand Surgery | Peachtree Orthopaedic Clinic Pa | 1505 Northside Boulevard, Suite 3100, Cummings, GA 30041 |
| Neil Tarabadkar | Orthopedic Surgery | Peachtree Orthopaedic Clinic Pa | 1505 Northside Boulevard, Suite 3100, Cummings, GA 30041 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Max M Benson | Interventional Cardiology | Northside Cardiovascular Professional Services,llc | 1505 Northside Forsyth Dr, Suite 3600, Cumming, GA 30041 |
| Amit Tibrewala | Internal Medicine | Northside Cardiovascular Professional Services,llc | 1505 Northside Forsyth Dr, Suite 3600, Cumming, GA 30041 |
| Kurt B Tompkins | Chiropractic | Tompkins Family Chiropractic Inc. | 1485 Peachtree Pkwy, Suite D7, Cumming, GA 30041-0500 |
| Eric W Tompkins | Chiropractic | Tompkins Family Chiropractic Inc. | 1485 Peachtree Pkwy, Suite D7, Cumming, GA 30041-0500 |
| Eli M Goldsmith | Chiropractic | 5285 Lake Pointe Ctr Dr, Suite B, Cumming, GA 30041-0901 | |
| Dominik Alan Shannon | Physical Therapy | Benchmark Physical Therapy, Inc | 1370 Buford Hwy 108, Cumming, GA 30041-2723 |
| Dwarakinath Harish | Nephrology | 1445 Haw Creek Cir, Suite 504, Cumming, GA 30041-2723 | |
| Coleen Rodney Brown | Physical Therapy | Benchmark Physical Therapy, Inc | 1370 Buford Hwy 108, Cumming, GA 30041-2723 |
| Grace M Gibson | Physical Therapy | Benchmark Physical Therapy, Inc | 1370 Buford Hwy 108, Cumming, GA 30041-2723 |
| Grace Alexandra Kenney | Physical Therapy | Benchmark Physical Therapy, Inc | 1370 Buford Hwy 108, Cumming, GA 30041-2723 |
| Find all physicians in zip 30041 | |||
| City | CUMMING |
| Zip Code | 30041 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | CUMMING + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Nishan H Fernando.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.